RUTH SUBHASH SHAH Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****82

License Status

NOT RENEWED

Business

First Name

RUTH SUBHASH

Last Name

SHAH

Business Name

RUTH SUBHASH SHAH

Original Issue Date

09/17/2009

Effective Date

08/02/2022

Expiration Date

06/30/2024

City

BURR RIDGE

State

Zip

60527

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025